Robyn Van Der Linden, LMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA 60058106 Issued in WA

Practice address

19102 N Creek Pkwy
104
Bothell, WA 98011-8005

Phone

(425) 486-6079

NPI assigned

Apr 8, 2009

Last updated

Apr 8, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Quality Care Physical Therapy, Inc.

  • Physical Therapist
  • Bothell, WA
  • NPI 1801937503
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1239148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239148800000",
    "number": "1518100320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1872",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980411872",
            "telephone_number": "425-486-6782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19102 N CREEK PKWY",
            "address_2": "104",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980118005",
            "telephone_number": "425-486-6079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN DER LINDEN",
        "first_name": "ROBYN",
        "name_prefix": "Mrs.",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-08",
        "last_updated": "2009-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA 60058106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON STATE DEPT OF HEALTH",
            "identifier": "MA 60058106",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gabriel Ivan Uriarte
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• Nicholas Van Baak
• Larae Van Derschelden
• Allan Leslie Van Ness, DDS, MSD
• Penny Lee Vance
• Philip Vande Pol, PT, DPT
• Jennifer Nicole Vandecar, OT

• Massage Therapist in Bothell, WA
• Providers in Bothell, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.